Desaturations

Audrey had been having more frequent braddies and desats last night, so they checked her blood counts and decided to give her a transfusion. She finished the transfusion a bit earlier this evening. She was still having episodes during the day today, but the nurse had also weaned her down to 22% oxygen so she was having to work a bit harder to maintain her oxygen levels. The nurse also commented that Audrey gets a lot of air in her stomach from the CPAP and that that can increase the pressure on the lungs and make it harder for her to breathe, so she's been aspirating that air regularly to try to help. Audrey hasn't been eating because of the transfusion, but they plan to start her back up at 6.5cc later tonight. She was fast asleep when I saw her, sleeping as she does with her legs pulled up beneath her.

Thomas had been tolerating his 1cc of milk well, so they raised him to 1.5cc and will continue to increase the amount by .5cc every 12 hours unless something changes. He's been at 25 or 26% oxygen and has had mostly self-limiting braddies and desats. His diaper rash is still pretty bad, and he has an abrasion of sorts as well. They're running cultures on everything but also trying to address with creams/ointment and a layer of dressing for protection. He was stretching out his arms and legs a bit when I saw him this afternoon. I imagine that's pretty similar to what I was feeling inside of me just a few weeks ago.

Charlotte is still tolerating her feeds well, and I believe she's up to 6cc at this stage (if I'm remembering correctly). Her diaper rash is also still an issue that they are treating. None of the cultures are back (for any of the babies) related to MRSA, but Charlotte is still on antibiotics for the infected pustule she had on her arm. She too has had some episodes with braddies and desats, but she's typically bringing herself back out of them. She was sleeping peacefully when I visited her. The support for the CPAP was positioned on her hat in a way that made it look like she was wearing a bow. Cute. 

Overall, we're just waiting on a lot of "pending" tests from the lab...